Disparities in head and neck cancer: assessing delay in treatment initiation

The Laryngoscope
Urjeet A Patel, Tara E Brennan

Abstract

Disparities in outcome for head and neck cancer (HNC) treatment are related to diverse factors including tumor stage, socioeconomic status, and treatment compliance. Latency to initiation of therapy may contribute to worse outcomes for underserved populations. The objectives of this study were to measure the interval from diagnosis of HNC to initiation of cancer treatment (DTI) and to identify factors that prolong DTI. Retrospective study. We identified 150 consecutive patients treated for squamous cell HNC at a tertiary-care public hospital between 2005 and 2007. Outcome measures used were 1) interval between cancer diagnosis and treatment initiation and 2) factors that predict prolonged DTI. We included 100 patients in the analysis. Median time to perform biopsy was 8 days; time to obtain final diagnosis was 14 days; time to complete staging scans was 18 days; time to discuss treatment plan was 23 days; time to initiation of therapy was 56 days. Median DTI was 48 days. DTI was prolonged for patients receiving primary radiotherapy compared to surgical therapy: 57 versus 30 days (P < .001). Early stage tumors had shorter DTI than late-stage tumors: 38 versus 57 days (P = .02). Presenting with outside biopsy demonstrating HNC al...Continue Reading

References

Feb 1, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jenny HuangWilliam J Mackillop
May 14, 2003·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Xavier LeónMiquel Quer
Jan 21, 2004·Archives of Otolaryngology--head & Neck Surgery·Tang HoWayne M Koch
Aug 4, 2006·The Laryngoscope·Urjeet A PatelRobert Kern
Mar 23, 2011·Archives of Otolaryngology--head & Neck Surgery·Jimmy J CaudellJames A Bonner

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Citations

Jan 9, 2015·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Jonghun John LeeIan Witterick
Apr 2, 2013·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Rebecca Bütof, Michael Baumann
Jan 22, 2015·Asian Pacific Journal of Cancer Prevention : APJCP·Manigreeva KrishnatreyaNazmul Hoque
Jul 18, 2015·European Annals of Otorhinolaryngology, Head and Neck Diseases·F CunyUNKNOWN SFORL work group
Mar 20, 2015·The Journal of Laryngology and Otology·R NashA Mace
Apr 28, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Anne-Valerie GuizardKarine Ligier
Oct 19, 2016·International Journal of Oral and Maxillofacial Surgery·P Varela-CentellesJ Seoane
Sep 25, 2017·The Laryngoscope·Jason D KimWinson Y Cheung
Sep 12, 2017·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Melissa A PynnonenMaureen D Corrigan
Sep 12, 2017·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Melissa A PynnonenMaureen D Corrigan
Feb 6, 2018·Advances in Therapy·Andrés Coca-PelazAlfio Ferlito
Apr 3, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Evan A JonesJeffrey C Liu
Feb 3, 2017·OTO Open : the Official Open Access Journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation·Aaron SmithMerry Sebelik
Feb 23, 2020·OTO Open : the Official Open Access Journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation·Karina YuUrmimala Sarkar
Nov 15, 2016·Cancer Control : Journal of the Moffitt Cancer Center·Evelinn A BorrayoJennifer Nguyen
Jun 24, 2017·The Laryngoscope·Matthew L RohlfingJoshua D Waltonen
Dec 10, 2020·Asia-Pacific Journal of Public Health·Seung-No HongDae Woo Kim
Jan 27, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Emily E KarpKathryn M Van Abel
Mar 16, 2021·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Rosanne C SchoonbeekGyörgy B Halmos
Apr 4, 2021·Cancers·Constanza Saka-HerránJosé López-López

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